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Project Description Project Concern International (PCI)
 

Duration:   September 2004 - August 2009 

Partners:
National AIDS Control Organization (NACO)
Akimbo Society 
Network of Maharashtra by People Living with HIV/AIDS (NMP+)
Pragati Seva Samiti
LODI MSS
Sevadham
Salem Network of Positive People 
Social Awareness Service Organization (SASO) 
Society for HIV/AIDS Lifeline Operation in Manipur (SHALOM) 

Geographic Focus: Six sites in five states [Pune (Maharashtra), Salem (Tamil Nadu), Warangal (Andhra Pradesh), Churachandpur and Imphal (Manipur), Dimapur (Nagaland)]

Project Profile:  The Project Concern International's (PCI) PATHWAY Program, "Comprehensive Community and Home-Based Care (CHBC) and Support for People Living with HIV/AIDS (PLHIVs) in India," implements integrated CHBC, support and HIV prevention in six high-prevalence sites in the states of Maharashtra, Tamil Nadu, Andhra Pradesh, Manipur and Nagaland.  The project provides support to PLHIVs in the complete continuum of care using a "PLHIV-centric approach" to increase utilization of available health care support services.  A key element of this approach is building the capacity of the Family Care Giver and the PLHIV to provide the first level of medical, psychosocial and other services, backed up by the project services team.  PLHIVs form a part of frontline service delivery as well as being beneficiaries.  The project also works with NACO to improve and upgrade its Strategic Information System (SIS), provides manpower and technical support to HIV surveillance activities across India, and capacitates the personnel in other skill areas in high demand.

The project is currently in its phase out mode after following a strategic transition and sustainability plan over the last three years. The project collaborated with national and state governments, local NGOs/CBOs and the community to transfer key components of the program, including medical, legal, psychosocial, and testing and prevention components.

Key Ongoing Activities:

  • The PATHWAY Program provided low-cost CHBC, nutritional support, psychosocial counseling and other basic services to 5,300 PLHIVs and their family members over the five-year life of project and improved the quality of life of PLHIVs.
  • The project linked prevention to care and support continuum using a ‘PLHIV-centric' approach in the context of NACP III in diverse geographical settings across India.
  • PLHIVs were provided a variety of support through extensive linkages with the existing health, education, livelihood and security programs of government and others.
  • Since the inception in 2004, a sustainability plan has been in place to ensure smooth transition of service delivery to PLHIVs. The plan was modified and fine-tuned each quarter to ensure the continuation of the complete array of services to each PLHIV after the project ceases to function.
  • Apart from the regular project activities of providing medical, psychosocial, livelihood, nutrition, life skill education and legal services, the project activities included broad based community sensitization, and rapport with other NGOs/CBOs and community in the area to provide an enabling environment and community support to PLHIVs.

 Project Achievements and Innovations:

  • PCI's PATHWAY project was one of the first Community and Home Based Care Programs in India for PLHIVs, modeled on the Ugandan program in Africa. It was adapted to suit the low-prevalence HIV settings in India. 
  • The project reached more than 8,500 PLHIVs and their family members in 63 service centers through seven implementing partners in its four years of existence.
  • The project has been extensively modified to suit various settings with a uniform level of service delivery: for example, in low prevalence setting in urban slums (Pune), semi-rural to rural (Salem and Warangal), or injection drug user (IDU) settings (Dimapur, Imphal and Churachandpur).
  • PATHWAY adopted UNAIDS's Greater Involvement of People living with AIDS (GIPA) concept from project management to service delivery and have helped setup many networks for positive people.
  • Two of PATHWAY sites (Pune and Salem) are Immersion Learning Sites (ILS) for CHBC prevention, care and support.  The number of students who have come to these sites over the last three years is about 250, including five fellows from GHTM/I-TECH.

For Further Information visit the PCI: Positive Community Impact website

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